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Советы по диагностике анкилозирующего спондилита/аксиального спондилоартрита. 2 часть. Поражение позвоночного столба
Советы по диагностике анкилозирующего спондилита/аксиального спондилоартрита. 2 часть. Поражение позвоночного столба
Бунчук Н.В., Левшакова А.В. Советы по диагностике анкилозирующего спондилита / аксиального спондилоартрита. Consilium Medicum. 2024;26(2):97–106. DOI: 10.26442/20751753.2024.2.202737
© ООО «КОНСИЛИУМ МЕДИКУМ», 2024 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2024 г.
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Аннотация
В статье, написанной ревматологом и рентгенологом, которые в течение многих лет занимаются диагностикой анкилозирующего спондилита (АС) / аксиального спондилоартрита, даются советы в отношении рационального распознавания рассматриваемых заболеваний. Во 2-й части статьи приводятся сведения о характерных для АС / аксиального спондилоартрита изменениях позвоночного столба, имеющих диагностическое значение и определяющих прогноз так называемой центральной формы АС.
Ключевые слова: анкилозирующий спондилит, аксиальный спондилоартрит, спондилоартриты, позвоночный столб, позвоночник
of AS / axial spondyloarthritis, which have diagnostic significance and determine the prognosis of the so-called central type of AS.
Keywords: ankylosing spondylitis, axial spondyloarthritis, spondyloarthritis, spinal column, spine
Ключевые слова: анкилозирующий спондилит, аксиальный спондилоартрит, спондилоартриты, позвоночный столб, позвоночник
________________________________________________
of AS / axial spondyloarthritis, which have diagnostic significance and determine the prognosis of the so-called central type of AS.
Keywords: ankylosing spondylitis, axial spondyloarthritis, spondyloarthritis, spinal column, spine
Полный текст
Список литературы
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2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
1988;166(1 Pt 1):193-9. DOI:10.1148/radiology.166.1.3336678
5. Цивьян Я.Л. Хирургия позвоночника. 2-е изд., испр. и доп. Новосибирск: Изд-во Новосиб. ун-та, 1993 [Tsiv’ian IaL. Khirurgiia pozvonochnika. 2-e izd., ispr. i dop. Novosibirsk: Izd-vo Novosib. un-ta, 1993 (in Russian)].
6. Dihlmann W. Spondylitis ankylopoetica – die Bechterewsche Krankheit [Ankylosing spondylitis – Bechterew's disease]. Fortschr Geb Rontgenstr Nuklearmed. 1968;(Suppl. 100):1+ [Article in German].
7. McEwen C, DiTata D, Lingg C, et al. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum. 1971;14(3):291-318. DOI:10.1002/art.1780140302
8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
9. Baraliakos X, Østergaard M, Lambert RG, et al. MRI lesions of the spine in patients with axial spondyloarthritis: an update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-51. DOI:10.1136/annrheumdis-2021-222081
10. Van der Heijde D, Baraliakos X, Hermann KA, et al. Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial. Ann Rheum Dis. 2018;77(5):699-705. DOI:10.1136/annrheumdis-2017-212377
11. Бочкова А.Г., Левшакова А.В., Бунчук Н.В. Воспалительные изменения позвоночника у больных анкилозирующим спондилитом по данным магнитно-резонансной томографии. Научно-практическая ревматология. 2008;46(5):17-25 [Bochkova AG, Levshakova AV, Bunchuk NI. Spine inflammatory changes in patients with ankylosing spondylitis assessed by magnetic resonance image. Rheumatology Science and Practice. 2008;46(5):17-25 (in Russian)]. DOI:10.14412/1995-4484-2008-410
12. De Hooge M, van den Berg R, Navarro-Compán V, et al. Patients with chronic back pain of short duration from the SPACE cohort: which MRI structural lesions in the sacroiliac joints and inflammatory and structural lesions in the spine are most specific for axial spondyloarthritis? Ann Rheum Dis. 2016;75(7):1308-14. DOI:10.1136/annrheumdis-2015-207823
13. Hermann KG, Baraliakos X, van der Heijde DM, et al. Descriptions of spinal MRI lesions and definition of a positive MRI of the spine in axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MRI study group. Ann Rheum Dis. 2012;71(8):1278-88. DOI:10.1136/ard.2011.150680
14. Madari Q, Sepriano A, Ramiro S, et al. 5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis: data from the DESIR cohort. RMD Open. 2020;6(1):e001093. DOI:10.1136/rmdopen-2019-001093
15. Braun J, Blanco R, Marzo-Ortega H, et al. Two-year imaging outcomes from a phase 3 randomized trial of secukinumab in patients with non-radiographic axial spondyloarthritis. Arthritis Res Ther. 2023;25(1):80. DOI:10.1186/s13075-023-03051-5
16. Baraliakos X, Kiltz U, Peters S, et al. Efficiency of treatment with non-steroidal anti-inflammatory drugs according to current recommendations in patients with radiographic and non-radiographic axial spondyloarthritis. Rheumatology (Oxford). 2017;56(1):95-102. DOI:10.1093/rheumatology/kew367
17. Stal R, Baraliakos X, van der Heijde D, et al. Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis. RMD Open. 2022;8(2):e002250. DOI:10.1136/rmdopen-2022-002250
18. Takigawa T, Tanaka M, Nakanishi K, et al. SAPHO syndrome associated spondylitis. Eur Spine J. 2008;17(10):1391-7. DOI:10.1007/s00586-008-0722-x
19. Бунчук Н.В. Остеоартропатия передней части грудной клетки. Consilium Medicum. 2022;24(11):828-34 [Bunchuk NV. Osteoarthropathy of the front thorax. Consilium Medicum. 2022;24(11):828-34 (in Russian)]. DOI:10.26442/20751753.2022.11.202030
20. Бочкова А.Г. Случай паранеопластической остеомаляции. Consilium Medicum. 2007;9(2):7-9 [Bochkova AG. Sluchay paraneoplasticheskoy osteomalyatsiy. Consilium Medicum. 2007;9(2):7-9 (in Russian)].
21. Zhao Z, Chen W, Wang Y, et al. Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis. Front Med (Lausanne). 2021;8:680598. DOI:10.3389/fmed.2021.680598
22. Wang Y, Gao D, Ji X, et al. When brucellosis met the Assessment of SpondyloArthritis international Society classification criteria for spondyloarthritis: a comparative study. Clin Rheumatol. 2019;38(7):1873-80. DOI:10.1007/s10067-019-04481-w
23. Udby PM, Samartzis D, Carreon LY, et al. A definition and clinical grading of Modic changes. J Orthop Res. 2022;40(2):301-7. DOI:10.1002/jor.25240
24. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-8. DOI:10.1002/art.1780270401
25. Rudwaleit M, Metter A, Listing J, et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis Rheum. 2006;54(2):569-78. DOI:10.1002/art.21619
26. Dale K. In: Proceedings from a symposium on Bechterew’s syndrome and allied disorders. Oslo, Norway, October 22–24, 1979. Scand J Rheumatol Suppl. 1980;32:1-252.
27. Vogler JB 3rd, Brown WH, Helms CA, Genant HK. The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology. 1984;151(2):433-7. DOI:10.1148/radiology.151.2.6709915
28. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology (Oxford). 2002;41(4):375-80. DOI:10.1093/rheumatology/41.4.375
2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
1988;166(1 Pt 1):193-9. DOI:10.1148/radiology.166.1.3336678
5. Tsiv’ian IaL. Khirurgiia pozvonochnika. 2-e izd., ispr. i dop. Novosibirsk: Izd-vo Novosib. un-ta, 1993 (in Russian).
6. Dihlmann W. Spondylitis ankylopoetica – die Bechterewsche Krankheit [Ankylosing spondylitis – Bechterew's disease]. Fortschr Geb Rontgenstr Nuklearmed. 1968;(Suppl. 100):1+ [Article in German].
7. McEwen C, DiTata D, Lingg C, et al. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum. 1971;14(3):291-318. DOI:10.1002/art.1780140302
8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
9. Baraliakos X, Østergaard M, Lambert RG, et al. MRI lesions of the spine in patients with axial spondyloarthritis: an update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-51. DOI:10.1136/annrheumdis-2021-222081
10. Van der Heijde D, Baraliakos X, Hermann KA, et al. Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial. Ann Rheum Dis. 2018;77(5):699-705. DOI:10.1136/annrheumdis-2017-212377
11. Bochkova AG, Levshakova AV, Bunchuk NI. Spine inflammatory changes in patients with ankylosing spondylitis assessed by magnetic resonance image. Rheumatology Science and Practice. 2008;46(5):17-25 (in Russian). DOI:10.14412/1995-4484-2008-410
12. De Hooge M, van den Berg R, Navarro-Compán V, et al. Patients with chronic back pain of short duration from the SPACE cohort: which MRI structural lesions in the sacroiliac joints and inflammatory and structural lesions in the spine are most specific for axial spondyloarthritis? Ann Rheum Dis. 2016;75(7):1308-14. DOI:10.1136/annrheumdis-2015-207823
13. Hermann KG, Baraliakos X, van der Heijde DM, et al. Descriptions of spinal MRI lesions and definition of a positive MRI of the spine in axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MRI study group. Ann Rheum Dis. 2012;71(8):1278-88. DOI:10.1136/ard.2011.150680
14. Madari Q, Sepriano A, Ramiro S, et al. 5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis: data from the DESIR cohort. RMD Open. 2020;6(1):e001093. DOI:10.1136/rmdopen-2019-001093
15. Braun J, Blanco R, Marzo-Ortega H, et al. Two-year imaging outcomes from a phase 3 randomized trial of secukinumab in patients with non-radiographic axial spondyloarthritis. Arthritis Res Ther. 2023;25(1):80. DOI:10.1186/s13075-023-03051-5
16. Baraliakos X, Kiltz U, Peters S, et al. Efficiency of treatment with non-steroidal anti-inflammatory drugs according to current recommendations in patients with radiographic and non-radiographic axial spondyloarthritis. Rheumatology (Oxford). 2017;56(1):95-102. DOI:10.1093/rheumatology/kew367
17. Stal R, Baraliakos X, van der Heijde D, et al. Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis. RMD Open. 2022;8(2):e002250. DOI:10.1136/rmdopen-2022-002250
18. Takigawa T, Tanaka M, Nakanishi K, et al. SAPHO syndrome associated spondylitis. Eur Spine J. 2008;17(10):1391-7. DOI:10.1007/s00586-008-0722-x
19. Bunchuk NV. Osteoarthropathy of the front thorax. Consilium Medicum. 2022;24(11):828-34 (in Russian). DOI:10.26442/20751753.2022.11.202030
20. Bochkova AG. Sluchay paraneoplasticheskoy osteomalyatsiy. Consilium Medicum. 2007;9(2):7-9 (in Russian).
21. Zhao Z, Chen W, Wang Y, et al. Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis. Front Med (Lausanne). 2021;8:680598. DOI:10.3389/fmed.2021.680598
22. Wang Y, Gao D, Ji X, et al. When brucellosis met the Assessment of SpondyloArthritis international Society classification criteria for spondyloarthritis: a comparative study. Clin Rheumatol. 2019;38(7):1873-80. DOI:10.1007/s10067-019-04481-w
23. Udby PM, Samartzis D, Carreon LY, et al. A definition and clinical grading of Modic changes. J Orthop Res. 2022;40(2):301-7. DOI:10.1002/jor.25240
24. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-8. DOI:10.1002/art.1780270401
25. Rudwaleit M, Metter A, Listing J, et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis Rheum. 2006;54(2):569-78. DOI:10.1002/art.21619
26. Dale K. In: Proceedings from a symposium on Bechterew’s syndrome and allied disorders. Oslo, Norway, October 22–24, 1979. Scand J Rheumatol Suppl. 1980;32:1-252.
27. Vogler JB 3rd, Brown WH, Helms CA, Genant HK. The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology. 1984;151(2):433-7. DOI:10.1148/radiology.151.2.6709915
28. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology (Oxford). 2002;41(4):375-80. DOI:10.1093/rheumatology/41.4.375
2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
1988;166(1 Pt 1):193-9. DOI:10.1148/radiology.166.1.3336678
5. Цивьян Я.Л. Хирургия позвоночника. 2-е изд., испр. и доп. Новосибирск: Изд-во Новосиб. ун-та, 1993 [Tsiv’ian IaL. Khirurgiia pozvonochnika. 2-e izd., ispr. i dop. Novosibirsk: Izd-vo Novosib. un-ta, 1993 (in Russian)].
6. Dihlmann W. Spondylitis ankylopoetica – die Bechterewsche Krankheit [Ankylosing spondylitis – Bechterew's disease]. Fortschr Geb Rontgenstr Nuklearmed. 1968;(Suppl. 100):1+ [Article in German].
7. McEwen C, DiTata D, Lingg C, et al. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum. 1971;14(3):291-318. DOI:10.1002/art.1780140302
8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
9. Baraliakos X, Østergaard M, Lambert RG, et al. MRI lesions of the spine in patients with axial spondyloarthritis: an update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-51. DOI:10.1136/annrheumdis-2021-222081
10. Van der Heijde D, Baraliakos X, Hermann KA, et al. Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial. Ann Rheum Dis. 2018;77(5):699-705. DOI:10.1136/annrheumdis-2017-212377
11. Бочкова А.Г., Левшакова А.В., Бунчук Н.В. Воспалительные изменения позвоночника у больных анкилозирующим спондилитом по данным магнитно-резонансной томографии. Научно-практическая ревматология. 2008;46(5):17-25 [Bochkova AG, Levshakova AV, Bunchuk NI. Spine inflammatory changes in patients with ankylosing spondylitis assessed by magnetic resonance image. Rheumatology Science and Practice. 2008;46(5):17-25 (in Russian)]. DOI:10.14412/1995-4484-2008-410
12. De Hooge M, van den Berg R, Navarro-Compán V, et al. Patients with chronic back pain of short duration from the SPACE cohort: which MRI structural lesions in the sacroiliac joints and inflammatory and structural lesions in the spine are most specific for axial spondyloarthritis? Ann Rheum Dis. 2016;75(7):1308-14. DOI:10.1136/annrheumdis-2015-207823
13. Hermann KG, Baraliakos X, van der Heijde DM, et al. Descriptions of spinal MRI lesions and definition of a positive MRI of the spine in axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MRI study group. Ann Rheum Dis. 2012;71(8):1278-88. DOI:10.1136/ard.2011.150680
14. Madari Q, Sepriano A, Ramiro S, et al. 5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis: data from the DESIR cohort. RMD Open. 2020;6(1):e001093. DOI:10.1136/rmdopen-2019-001093
15. Braun J, Blanco R, Marzo-Ortega H, et al. Two-year imaging outcomes from a phase 3 randomized trial of secukinumab in patients with non-radiographic axial spondyloarthritis. Arthritis Res Ther. 2023;25(1):80. DOI:10.1186/s13075-023-03051-5
16. Baraliakos X, Kiltz U, Peters S, et al. Efficiency of treatment with non-steroidal anti-inflammatory drugs according to current recommendations in patients with radiographic and non-radiographic axial spondyloarthritis. Rheumatology (Oxford). 2017;56(1):95-102. DOI:10.1093/rheumatology/kew367
17. Stal R, Baraliakos X, van der Heijde D, et al. Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis. RMD Open. 2022;8(2):e002250. DOI:10.1136/rmdopen-2022-002250
18. Takigawa T, Tanaka M, Nakanishi K, et al. SAPHO syndrome associated spondylitis. Eur Spine J. 2008;17(10):1391-7. DOI:10.1007/s00586-008-0722-x
19. Бунчук Н.В. Остеоартропатия передней части грудной клетки. Consilium Medicum. 2022;24(11):828-34 [Bunchuk NV. Osteoarthropathy of the front thorax. Consilium Medicum. 2022;24(11):828-34 (in Russian)]. DOI:10.26442/20751753.2022.11.202030
20. Бочкова А.Г. Случай паранеопластической остеомаляции. Consilium Medicum. 2007;9(2):7-9 [Bochkova AG. Sluchay paraneoplasticheskoy osteomalyatsiy. Consilium Medicum. 2007;9(2):7-9 (in Russian)].
21. Zhao Z, Chen W, Wang Y, et al. Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis. Front Med (Lausanne). 2021;8:680598. DOI:10.3389/fmed.2021.680598
22. Wang Y, Gao D, Ji X, et al. When brucellosis met the Assessment of SpondyloArthritis international Society classification criteria for spondyloarthritis: a comparative study. Clin Rheumatol. 2019;38(7):1873-80. DOI:10.1007/s10067-019-04481-w
23. Udby PM, Samartzis D, Carreon LY, et al. A definition and clinical grading of Modic changes. J Orthop Res. 2022;40(2):301-7. DOI:10.1002/jor.25240
24. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-8. DOI:10.1002/art.1780270401
25. Rudwaleit M, Metter A, Listing J, et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis Rheum. 2006;54(2):569-78. DOI:10.1002/art.21619
26. Dale K. In: Proceedings from a symposium on Bechterew’s syndrome and allied disorders. Oslo, Norway, October 22–24, 1979. Scand J Rheumatol Suppl. 1980;32:1-252.
27. Vogler JB 3rd, Brown WH, Helms CA, Genant HK. The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology. 1984;151(2):433-7. DOI:10.1148/radiology.151.2.6709915
28. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology (Oxford). 2002;41(4):375-80. DOI:10.1093/rheumatology/41.4.375
________________________________________________
2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
1988;166(1 Pt 1):193-9. DOI:10.1148/radiology.166.1.3336678
5. Tsiv’ian IaL. Khirurgiia pozvonochnika. 2-e izd., ispr. i dop. Novosibirsk: Izd-vo Novosib. un-ta, 1993 (in Russian).
6. Dihlmann W. Spondylitis ankylopoetica – die Bechterewsche Krankheit [Ankylosing spondylitis – Bechterew's disease]. Fortschr Geb Rontgenstr Nuklearmed. 1968;(Suppl. 100):1+ [Article in German].
7. McEwen C, DiTata D, Lingg C, et al. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum. 1971;14(3):291-318. DOI:10.1002/art.1780140302
8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
9. Baraliakos X, Østergaard M, Lambert RG, et al. MRI lesions of the spine in patients with axial spondyloarthritis: an update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-51. DOI:10.1136/annrheumdis-2021-222081
10. Van der Heijde D, Baraliakos X, Hermann KA, et al. Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial. Ann Rheum Dis. 2018;77(5):699-705. DOI:10.1136/annrheumdis-2017-212377
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Авторы
Н.В. Бунчук*1, А.В. Левшакова2
1ООО «Клиника Сесиль+», Москва, Россия;
2Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России, Москва, Россия
*nbunchuk@yahoo.com
1"Klinika Sesil'+" LLC, Moscow, Russia;
2Hertsen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Moscow, Russia
*nbunchuk@yahoo.com
1ООО «Клиника Сесиль+», Москва, Россия;
2Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России, Москва, Россия
*nbunchuk@yahoo.com
________________________________________________
1"Klinika Sesil'+" LLC, Moscow, Russia;
2Hertsen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Moscow, Russia
*nbunchuk@yahoo.com
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